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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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Nobody is "happy" about being in a nursing home. The only thing that would make them happy is to be about 30 years younger. Mom was unhappy at home, only briefly happy at AL and finally at the nursing home she had no idea where she was at all.
Any new facility must be Medicare approved because any insurance becomes secondary after you reach 65 and are eligible. Are her reasons for not being happy specific to the home she is currently in? If not she probably won't be happy in a new place either. That is just the nature of the beast.
Coleman, I don't have an answer specific to transferring someone not on Medicare, but I'll share what I do know about transfers.
First, is she in a rehab facility, IL, AL, SNF - what kind of facility? "Nursing home" is often used to refer to any kind of facility regardless of whether it provides high, medium or low levels of medical/nursing care.
Did she enter voluntarily, or on referral from a doctor? Was she in a hospital prior to that? Is it expected that she will be in the facility for some time, i.e., several months?
If Medicare were involved, the ideal method of transferring would be to get a statement or letter from the physician who treated her prior to the placement, reaffirming the need for care, and referencing the fact that she wishes to find another facility. I don't recall without checking my copy of our letter whether or not it was stated that the existing facility was subpar and did not meet acceptable standards.
We got the letter, based on advice from our orthopedic's doctor's nurse practitioner. It was a caution since the NP had raised the issue that Medicare sometimes might not pay if a patient transfers to another rehab facility. So our "bases were covered" and there was no reimbursement interruption. No issues at all.
Since BCBS is primary, I would contact them and ask what they require in terms of documentation; then confirm it either by e-mail or letter before making the transfer.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Are her reasons for not being happy specific to the home she is currently in? If not she probably won't be happy in a new place either. That is just the nature of the beast.
First, is she in a rehab facility, IL, AL, SNF - what kind of facility? "Nursing home" is often used to refer to any kind of facility regardless of whether it provides high, medium or low levels of medical/nursing care.
Did she enter voluntarily, or on referral from a doctor? Was she in a hospital prior to that? Is it expected that she will be in the facility for some time, i.e., several months?
If Medicare were involved, the ideal method of transferring would be to get a statement or letter from the physician who treated her prior to the placement, reaffirming the need for care, and referencing the fact that she wishes to find another facility. I don't recall without checking my copy of our letter whether or not it was stated that the existing facility was subpar and did not meet acceptable standards.
We got the letter, based on advice from our orthopedic's doctor's nurse practitioner. It was a caution since the NP had raised the issue that Medicare sometimes might not pay if a patient transfers to another rehab facility. So our "bases were covered" and there was no reimbursement interruption. No issues at all.
Since BCBS is primary, I would contact them and ask what they require in terms of documentation; then confirm it either by e-mail or letter before making the transfer.